Introduction
It has been reported that severe acute respiratory syndrome coronavirus
2 (SARS-CoV-2) may be associated with endothelial inflammation and an
increasing risk of hemorrhage.1 Because the infection
is associated with a high risk of aerosolization and related healthcare
provider contamination, the treatment of vascular lesions has to be as
conservative as possible.2 From March,
1st 2020 to May 28th 2020, 74
patients with severe coronavirus disease 2019 (COVID-19) were
hospitalized in our intensive care unit (ICU) and 35 patients benefiting
from surgical tracheotomy (47%). The realization of tracheotomy made
sense in a context of pandemic and ICU overload because tracheotomy
allowed the reduction of the duration of mechanical ventilation and the
faster discharge of patients from the ICU.2 Among
them, three individuals (8.5%) developed severe bleeding from the
superior thyroid artery. Two patients benefited from interventional
radiology and one had surgical exploration and right superior thyroid
artery ligation.
In this paper, we report the history and the conservative management of
the two COVID-19 patients who had vascular lesion.